| NPI | 1922033372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS 9417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34008377) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-10-27 |